DR. RICKY R BURK (OD) – Optometrist, NPI 1245255686

DR. RICKY R BURK (OD) is a healthcare provider. based in Tualatin, Oregon. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. ATI2559 (OR). The NPI Number for DR. RICKY R BURK (OD) is 1245255686

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICKY R BURK (OD)
NPI
1245255686
Phone
(503) 691-2283
Address
19801 SW 72ND AVE STE 150
Enumeration Date
13 July 2006
Last Update Date
4 November 2020

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
2083857576
Graduation Year
1989 (37 years ago)
PAC ID
9739109356
Group Practice PAC ID
7517864119
Professional Enrollment ID
I20070425000159
Address ID
ID837054159BO2822XAVEX400

Contacts

Secure Messaging
ricky.burk.p1@direct.pcli.nextgenshare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

672 OPTOMETRY in OR

Provider Addresses for DR. RICKY R BURK (OD)

  • 19801 SW 72ND AVE STE 150

    TUALATIN, OR 970628347

    Phone: (503) 691-2283

    Fax: (503) 691-5981

    Type: Location

  • Chehalis Post Office, Northwest Center Street, Chehalis, Lewis County, Washington, United States

    CHEHALIS, WA 985320409

    Phone: (360) 242-3008

    Fax: (360) 807-7687

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-11-13 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051129000045IOptometryWATBD
I20070425000159IOptometryIDTBD
I20100126000591IOptometryORTBD
I20100208000563IOptometryAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes453453$0
92136Measurement of corneal curvature and depth of eye248248$0
99214Established patient office or other outpatient visit, 30-39 minutes10094$0
66984Removal of cataract with insertion of prosthetic lens5148$0
99213Established patient office or other outpatient visit, 20-29 minutes2016$0
View full utilization report →

Insurance plans in this area (ZIP 97062)

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Provider's Procedures

DR. RICKY R BURK (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYOR92083Measurement of field of vision during daylight conditions2412

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517864119View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WA
-WA
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YWA
O P T O M E T R YWA
Certified Registered Nurse Anesthetist (Crna)WA
O P T O M E T R YWA
O P T O M E T R YWA
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YWA

Reviews

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Frequently asked questions

Does DR. RICKY R BURK (OD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. RICKY R BURK (OD) uses 1245255686.
Does CMS list DR. RICKY R BURK (OD) as active?
Yes — DR. RICKY R BURK (OD) is active in the NPI listing used on this page.
What healthcare role does DR. RICKY R BURK (OD) hold?
Scheduling teams often label DR. RICKY R BURK (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. RICKY R BURK (OD) list a practice location?
Patients near Tualatin, Oregon may find DR. RICKY R BURK (OD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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